The role of a motivational interviewing in alleviating depression, anxiety, and planning change of pregnant women with diabetes (Case Study)

Abstract

The present study aims to show the role of the motivational interviewing as a short and initial intervention in alleviating the symptoms of depression and anxiety in pregnant women with diabetes. This study was conducted with following the clinical method at the University Hospital of Beni Messous maternity and gynecology service. Also, it relied on the educational interviewing, clinical - observation, the hospital anxiety and depression scale, and the motivational interviewing of Rollnick and Miller. The results show that the motivational interviewing is important as a primary intervention in improving symptoms of depression and anxiety and adherence to self-care behaviors. The study also showed that compared to traditional methods, the patient's resistance to treatment can turn into effective implication. Whatever the relationship with her is based on cooperation, respect her values and motives, support her self-efficacy and encourage her to be more independent, and even treating her like an expert responsible for her health instead of dealing with her as a passive recipient for informations. This study concluded on the importance of integrating the motivational interviewing as a primary intervention along with cognitive-behavioral therapy, as well as the necessity of training caregivers in motivating patients to enhance their adherence to medical instructions and avoid resistance to change.

The results of the study show the role of the motivational interview in raising the motivation for change in both cases by developing their awareness about the need to change the lifestyle of healthy nutrition due to its positive impact on diabetes and therefore planned and ran out of some healthy habits, but we note that this planning for change and its implementation in principle was associated with the need to maintain the health of the fetus and secure its safe birth, so we see the need to follow up cognitive behavioral psychotherapy in order to support positive health beliefs to maintain healthy behavior even after pregnancy and childbirth.